NURS 304 Exam 4 – Study Guide and Exam Review Material
The nurse takes special care while checking a patient's tail of Spence. What is the reason for this
intervention? - ANS ✔✔To detect breast cancer
What is the proper method to examine large pendulous breasts? - ANS ✔✔Asking the patient to
lean forward while the nurse supports the forearms
Before a breast examination, the nurse asks the patient to lie down and raise her arms. What is
the rationale behind this instruction? - ANS ✔✔To flatten the breast tissue
The nurse is doing a breast assessment of a pregnant patient. On palpation, the nurse finds that
the breasts feel nodular. The patient does not complain of any pain. What does the nurse
deduce from these findings? - ANS ✔✔This is a normal finding
What is the marked change in the breast seen in a patient who has reached menopause? - ANS
✔✔Atrophy of the glandular tissue
During a physical assessment, a teenager tells the nurse, "My left breast is smaller than the right
one and it makes me feel self-conscious." How should the nurse respond? - ANS ✔✔"You
shouldn't worry; this is a normal condition."
Where does more than 75% of lymph from the breasts drain? - ANS ✔✔Ipsilateral axillary nodes
What assessment finding does the nurse identify with gynecomastia in an older male patient? -
ANS ✔✔Presence of a bilateral, tender, firm mass
Which assessment finding in a patient may indicate breast cancer? - ANS ✔✔Presence of a
unilateral, dense, irregular mass
The nurse takes special care while checking a patient's tail of Spence. What is the reason for this
intervention? - ANS ✔✔To detect breast cancer
What is the proper method to examine large pendulous breasts? - ANS ✔✔Asking the patient to
lean forward while the nurse supports the forearms
Before a breast examination, the nurse asks the patient to lie down and raise her arms. What is
the rationale behind this instruction? - ANS ✔✔To flatten the breast tissue
The nurse is doing a breast assessment of a pregnant patient. On palpation, the nurse finds that
the breasts feel nodular. The patient does not complain of any pain. What does the nurse
deduce from these findings? - ANS ✔✔This is a normal finding
What is the marked change in the breast seen in a patient who has reached menopause? - ANS
✔✔Atrophy of the glandular tissue
During a physical assessment, a teenager tells the nurse, "My left breast is smaller than the right
one and it makes me feel self-conscious." How should the nurse respond? - ANS ✔✔"You
shouldn't worry; this is a normal condition."
Where does more than 75% of lymph from the breasts drain? - ANS ✔✔Ipsilateral axillary nodes
What assessment finding does the nurse identify with gynecomastia in an older male patient? -
ANS ✔✔Presence of a bilateral, tender, firm mass
Which assessment finding in a patient may indicate breast cancer? - ANS ✔✔Presence of a
unilateral, dense, irregular mass
